Although a diagnosis of RSD alone will not qualify you for disability, you can win approval if the SSA finds that your RSD prevents you from working.

Reflex
sympathetic dystrophy (RSD, or RSDS) is a pain disorder in which the patient suffers from chronic pain and muscle damage, usually in an arm or leg. Although the
exact cause of RSD is unknown, doctors believe it is triggered when a
person suffers an injury that damages the nerves. However, not all
people who contract RSD experienced an injury, and in these cases, doctors
suspect the disease is related to an inappropriate immunological
response. RSD is also called Type I of complex regional pain syndrome.

Symptoms of RSD

In a person with RSD, the damaged nerves are unable to regulate blood
flow properly. This causes the body to develop problems with blood
vessels, bones, muscles, and skin. The symptoms of RSD include bone and
muscle pain, muscle spasms, discolored or thinning skin, intense skin
sensitivity or burning sensations, increased perspiration, and swelling
and stiffening of the joints.

Some RSD sufferers experience chronic, yet manageable symptoms.
However, more advanced RSD can cause irreversible damage, such as muscle
wasting, chronic muscle contracture (that leads to limited movement),
and ongoing pain. Prognosis is dependent on when the disease is
diagnosed. Without early intervention, RSD can be crippling.

Can I Get Disability for My RSD?

Although a diagnosis of RSD alone will not qualify you for
disability, you can still win approval if the Social Security
Administration (SSA) finds that your RSD prevents you from working.

Medically Determinable Impairment. First, to even
consider you for disability, the SSA must find that your RSD is a
"medically determinable impairment," meaning that there is some
objective evidence that you suffer from RSD. This means that your doctor
has documented physical findings in addition to your subjective
complaints of pain. Some examples of objective medical evidence of RSD
might be swelling, changes in skin color, temperature, or texture,
changes in the amount of sweat you produce, abnormal hair or nail
growth, or documented osteoporosis.

Assessment of Abilities. Secondly, the SSA will determine if you can still do your old job
despite the symptoms of your RSD. If the SSA feels that your symptoms do
not prevent you from doing your past work, your claim will be denied.
However, if the SSA thinks that you can no longer do your old job, it
must next determine if there is any other work you are able to do.

To make this determination, the SSA will prepare a residual
functional capacity assessment (RFC) that evaluates how your RSD affects
your ability to perform certain job-related activities.

How Is an RFC Created?

An RFC is based in part on the medical evidence you have provided to
support your claim, including your doctor's opinion on your functional limitations.
The SSA may also ask friends, neighbors, and co-workers about your
limitations, to see if their opinions coincide with your statements that
pain prevents you from doing certain activities.

You should ask your doctor to fill out an RFC form that outlines his
opinion on how your illness affects your ability to work (in particular,
to stand, walk, lift, etc.). If possible, your doctor should compare
what your capabilities were before the onset of RSD and after the onset
of RSD. Although the SSA will consider opinions provided by any licensed
medical care provider, it gives more weight to the opinions of doctors
that specialize in the treatment of RSD. It is important that you
provide the SSA with medical records dating to when you were first
diagnosed or earlier.

Also, you may be referred to a doctor hired by the SSA to undergo an
examination (called a consultative examination or CE) in order to fully
evaluate the effects of your RSD.

What Does an RFC for RSD Look Like?

An RFC for a person with RSD will include limitations imposed by the
diminished muscle strength or flexibility of the affected limbs. A
person who has lost significant use of one arm will have difficulty
pushing, pulling, lifting, and carrying even lightweight objects.
Someone who cannot fully perform these activities would be unable to do
most secretarial, janitorial, or factory work.

Also, people in the advanced stages of RSD may develop soft bones, a
complication called osteomalacia. Osteomalacia increases the risk of a
bone fracture from even the slightest injury. An RFC for someone with
osteomalacia might state that the individual could not work where there
was the possibility of injury, such as in carpentry, welding,
automotive, farming, or other construction type jobs.

The SSA is also required to consider your statements
about how pain prevents you from working, including how intense
the pain is, how long it lasts, and how limiting it is. The SSA will
decide if your statements are credible based on your entire
case record. For more information on pain symptoms and credibility, see our article on how Social Security evaluates chronic pain symptoms.

The SSA will also consider mental impairments that stem from your
condition. For example, RSD causes significant pain in the muscles,
joints, and bones. Chronic pain frequently leads to anxiety or
depression that can interfere with the ability to work. If you receive
treatment from a psychologist or psychiatrist, you should report this to
the SSA. The SSA will then prepare a mental RFC that details any
psychological limitations. For example, chronic pain can interfere with
concentration and make it hard to complete tasks on time; also,
depression and anxiety often lead to frequent absenteeism. These
limitations, combined with the physical restrictions caused by your RSD,
could most likely preclude full-time employment.

For more information on how the SSA uses the RFC to decide if you can work, see our articles on disability and the RFC.

Standard Requirements For Disability

To be eligible for disability for any impairment, you can't be
working and earning more than $1,130 per month. Also, your illness must
prevent your employment for at least 12 months.

In addition, to receive SSDI, you must have worked and paid taxes to
the SSA (FICA taxes) for a number of years. For more information, see
our article on eligibility for SSDI.

SSI benefits are for people without a qualifying work history that
meet the SSA’s income and asset limit. For more information, see our
article on SSI eligibility.